You have successfully made a Booking

Pharmacy: Sebastopol UFS Pharmacy

Address: 37 Albert street
SEBASTOPOL, VIC, 3356

Phone: 0353360455

Flu Vaccination details

Appointment duration: 15 min

Choose A Date:

Blood Pressure Monitoring Service

Blood pressure testing assists you in keeping your blood pressure under control between doctor visits.

Duration: 5 min

Blood Pressure Monitoring Service

Diabetes MedsCheck (medication review)

Duration: 30 min

Diabetes MedsCheck (medication review)

Flu Vaccination

Protect yourself against the flu this year by getting vaccinated.

You can now get your flu vaccination at the pharmacy by a pharmacist or nurse. You don't need a prescription from the doctor and the appointment only takes a few minutes. Book now.

Duration: 15 min

Flu Vaccination

Flu vaccination (5-64 years of age)

Duration: 15 min

Flu vaccination (5-64 years of age)

Leave certificate (absence from work)

Duration: 10 min

Leave certificate (absence from work)

Medication packing service consultation

Duration: 15 min

Medication packing service consultation

MedsCheck (medication review)

Duration: 30 min

MedsCheck (medication review)

Mild psoriasis treatment consultation

Duration: 15 min

Mild psoriasis treatment consultation

Oral contraceptive resupply (women 16-50)

Duration: 15 min

Oral contraceptive resupply (women 16-50)

Pharmacist consultation

Duration: 10 min

Pharmacist consultation

Shingles treatment consultation

Duration: 15 min

Shingles treatment consultation

Shingles Vaccination

Duration: 15 min

Shingles Vaccination

UTI treatment consultation (women 18-65)

Duration: 15 min

UTI treatment consultation (women 18-65)

Whooping cough vaccination

Duration: 15 min

Whooping cough vaccination

Pre-Screening Form

Booking Details

Service:

Dose:

Appointment Date:

Appointment Time:

Pharmacy Name:

Location:

Phone Number:

Booking Reference Number:

Please present your booking reference number at your appointment
If you need to cancel, please contact

Your Details

First Name:

Last Name:

Phone:

Email:

Gender:

You have been sent an email with these details. You will also receive a reminder 24 hours before your booking.

Save time on your visit by answering questions before your appointment.

Confirm Booking Details:

Booking Details:

Service:

Appointment Date:

Appointment Time:

Pharmacy Name:

Location:

Phone Number:

Enter Your Details:

First Name*

Last Name*

Mobile*

Email*

Gender*

QLD and SA residents
You must be 6 months or older to receive a flu vaccination in pharmacy.

TAS, ACT, NSW, VIC, NT and WA residents
You must be 5 years or older to receive a flu vaccination in pharmacy.

Dose

Medicare Number

IRN

Medicare Expiry

Name on card

Enter your Medicare number and other details to reduce your waiting time in the pharmacy.

Date of birth*

Street*

Suburb*

State*

Postcode*

Reason for consultation*

What are you experiencing with your health? Provide information to help with the consultation.

Relevant background information*

Include information relevant to your situation e.g. medication you are on, recent health issues, allergies etc.

I am consenting as a substitute decision-maker (e.g. carer) on behalf of the patient

Name of substitute decision-maker*

Consent to pilot clinical service and costs*

If applicable, I agree to participate in the Queensland Community Pharmacy Chronic Conditions Management Pilot and understand the scope of the clinical service. I consent to paying the pilot consultation fee and any costs associated with the service. I understand that if I decide not to proceed with receiving some part of a service, I may still be required to pay for services that have already been provided. I understand that my pharmacist will inform me if this is applicable to my situation.

Consent to pilot evaluation*

If applicable, I consent to participating in the evaluation of the Queensland Community Pharmacy Chronic Conditions Management Pilot and agree to being contacted to participate in surveys about the pilot. I consent to my administrative health service data being analysed for evaluation purposes. I understand that my pharmacist will inform me if this is applicable to my situation.

Organisation Code*

Division*

Employee Status*

Participant ID*

Service selection*

I have read and accept the Guild Corporate Health Privacy Policy. I give consent for the pharmacy to provide my personal information to my employer for reconciliation and program management purposes. *

I have read and accept the MedAdvisor Terms and Conditions and Privacy Policy. *

This program closes at 4pm AEST July 31st. Do not book a vaccination after this date/time.

Security Question*